ICD-10 Coding for Chronic Dysphagia(R13.10, R13.11)
Complete ICD-10-CM coding and documentation guide for Chronic Dysphagia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chronic Dysphagia
R13.10-R13.19Primary Range
Dysphagia, unspecified to other specified dysphagia
This range covers all phases of dysphagia, which is essential for coding chronic dysphagia accurately.
Sequelae of cerebrovascular disease
Used to code underlying causes of dysphagia, such as post-stroke conditions.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R13.10 | Dysphagia, unspecified | Use when the specific phase of dysphagia is not documented. |
|
| R13.11 | Dysphagia, oral phase | Use when the oral phase is specifically documented as impaired. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for chronic dysphagia
Essential facts and insights about Chronic Dysphagia
Primary ICD-10-CM Codes for chronic dysphagia
Decision Criteria
documentation Criteria
- Lack of specific phase documentation
Applicable To
- General swallowing difficulties
Excludes
- Specific phase dysphagia
Clinical Validation Requirements
- General documentation of swallowing difficulty without phase specification
Code-Specific Risks
- May lead to under-coding if phase is known but not documented.
Coding Notes
- Ensure documentation supports the use of an unspecified code.
R13.11 - Dysphagia, oral phase
Use when the oral phase is specifically documented as impaired.
Applicable To
- Impaired bolus formation
Excludes
- Pharyngeal phase dysphagia
Clinical Validation Requirements
- Documentation of oral phase impairment
Coding Notes
Ensure clear documentation of oral phase involvement.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Chronic Dysphagia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R13.10.
Impact
Clinical: May lead to incomplete treatment plans., Regulatory: Increases risk of non-compliance with coding standards., Financial: Potential loss of reimbursement for related conditions.
Mitigation Strategy
Thorough patient history, Link dysphagia to known conditions
Impact
Reimbursement: May lead to lower reimbursement if specific phase is not coded., Compliance: Increases risk of audit due to lack of specificity., Data Quality: Reduces data accuracy for clinical analysis.
Mitigation Strategy
Ensure the specific phase of dysphagia is coded if documented.
Impact
Risk of audits due to non-specific dysphagia coding.
Mitigation Strategy
Ensure documentation specifies the phase and underlying cause.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Chronic Dysphagia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chronic Dysphagia
Use these documentation templates to ensure complete and accurate documentation for Chronic Dysphagia. These templates include all required elements for proper coding and billing.
Chronic Dysphagia due to Stroke
Specialty: Speech-Language PathologyRequired Elements
- Patient history
- Phase of dysphagia
- Underlying condition
- Functional impact
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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